Active NPI
Priscilla Suazo
- Mental Health Counselor
- Lacey, WA
National Provider Identifier
1215833884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4109 Bridgeport Way E-2 University Place, Wa
Lacey, WA 98466 - Phone
- (360) 464-7935
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA | Primary |
Addresses
Primary practice location
4109 Bridgeport Way E-2 University Place, Wa
Lacey, WA 98466
Mailing address
4109 Bridgeport Way E-2 University Place, Wa
Lacey, WA 98466
Phone (360) 464-7935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1215833884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 BRIDGEPORT WAY E-2 UNIVERSITY PLACE, WA",
"city": "LACEY",
"state": "WA",
"postal_code": "98466",
"telephone_number": "360-464-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 BRIDGEPORT WAY E-2 UNIVERSITY PLACE, WA",
"city": "LACEY",
"state": "WA",
"postal_code": "98466",
"telephone_number": "360-464-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAZO",
"first_name": "PRISCILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.